Offer summary

Qualifications:

Bachelor’s degree in a related field or equivalent experience., 2+ years of auditing or process improvement experience, preferably in a managed care setting., Knowledge of state contract and accreditation requirements., Strong analytical skills and attention to detail..

Key responsibilities:

Audit systems entry, performance metrics, and work processes for assigned functions.

Compile audit findings and report to management with recommendations for improvements.

Ensure implementation of defined goals and availability of relevant analytics to measure performance.

Research state contract requirements and identify potential risks to the company.

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Responsible for the auditing of systems entry, performance metrics and work processes for assigned function

Compile audit findings and report to management, making recommendations for modifications and improvements to operations, systems and procedures
Ensure defined goals are implemented and relevant analytics are available to measure goal performance
Coordinate auditing outcomes to identify, develop and publish corrective actions and educational material related to audit errors
Examine and evaluate information systems, recommending controls to ensure system reliability and data integrity
Identify and resolve system issues with data load
Research state contract requirements and accrediting body standards and identify areas that present potential risk to the company
Ability to travel

Education/Experience: Bachelor’s degree in related field or equivalent experience. 2+ years of auditing or process improvement experience, preferably in a managed care setting. Knowledge of state contract and accreditation requirements.

Pay Range: $22.79 - $38.84 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Required profile